A survey by the European Society of Breast Imaging on the utilisation of breast MRI in clinical practice

作者：Clauser Paola; Mann Ritse; Athanasiou Alexandra; Prosch Helmut; Pinker Katja; Dietzel Matthias; Helbich Thomas H.; Fuchsjaeger Michael; Camps-Herrero Julia; Sardanelli Francesco; Forrai Gabor; Baltzer Pascal A. T.^*

来源：European Radiology, 2018, 28(5): 1909-1918.

DOI：10.1007/s00330-017-5121-4

• Breast
• Magnetic resonance imaging
• Survey and Questionnaires
• Practice Guideline
• Radiologists

While magnetic resonance imaging (MRI) is considered a helpful diagnostic tool in breast imaging, discussions are ongoing about appropriate protocols and indications. The European Society of Breast Imaging (EUSOBI) launched a survey to evaluate the utilisation of breast MRI in clinical practice.
An online survey reviewed by the EUSOBI board and committees was distributed amongst members. The questions encompassed: training and experience; annual breast MRI and MRI-guided-intervention workload; examination protocols; indications; reporting habits and preferences. Data were summarised and subgroups compared using chi(2) test.
Of 647 EUSOBI members, 177 (27.4%) answered the survey. The majority were radiologists (90.5%), half of them based in academic centres (51.9%). Common indications for MRI included cancer staging, treatment monitoring, high-risk screening and problem-solving, and differed significantly between countries (pae >0.03). Structured reporting and BI-RADS were mostly used. Breast radiologists with ae 10 years of experience preferred inclusion of additional techniques, such as T2/STIR (p=0.03) and DWI (p=0.08) in the scan protocol. MRI-guided interventions were performed by a minority of participants (35.4%).
The utilisation of breast MRI in clinical practice is generally in line with international recommendations. There are substantial differences between countries. MRI-guided interventions and functional MRI parameters are not widely available.
aEuro cent MRI is commonly used for the detection and characterisation of breast lesions.
aEuro cent Clinical practice standards are generally in line with current recommendations.
aEuro cent Standardised criteria and diagnostic categories (mainly BI-RADS) are widely adopted.
aEuro cent Younger radiologists value additional techniques, such as T2/STIR and DWI.
aEuro cent MRI-guided breast biopsy is not widely available.

• 出版日期2018-5